用药行为对老年糖尿病患者病情控制和预后的影响

王淑伟

[摘要] 目的 探討用药行为干预对老年糖尿病患者病情控制和预后的影响。 方法 将该院2018年4月—2019年4月间收治的88例老年糖尿病患者纳入该次研究，随机将患者分入至对照组和研究组，各44例。对照组常规护理干预，研究组在对照组基础上强调用药行为的干预，观察对比两组的血糖控制情况，对比两组患者的治疗依从性，对比两组患者生活质量变化。 结果 治疗前，两组患者血糖指标（空腹血糖、餐后2 h血糖、糖化血红蛋白）对比差异无统计学意义（P>0.05），治疗后，研究组患者血糖指标（空腹血糖、餐后2 h血糖、糖化血红蛋白）较对照组更低（P<0.05）。研究组患者治疗依从率显著高于对照组（P<0.05）。治疗前，两组患者的生存质量特异性评分（DSQL）在社会功能、心理和精神状况、治疗、生理功能四个维度的对比中，均差异无统计学意义（P>0.05），治疗后，研究组上述评分低于对照组（P<0.05）。结论 在老年糖尿病患者治疗的过程中，强调用药行为的知道，可显著提升患者的治疗依从性，从而使患者更为理想的血糖控制，使糖尿病对机体的影响显著下降。

[关键词] 糖尿病;用药治疗;老年患者;治疗依从性;血糖水平

[中图分类号] R587.2          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0039-03

Effect of Medication Behavior on Disease Control and Prognosis of Elderly Diabetic Patients

WANG Shu-wei

Department of Endocrinology， Peixian People's Hospital， Xuzhou， Jiangsu Province， 221600 China

[Abstract] Objective To investigate the effect of medication intervention on the disease control and prognosis of elderly patients with diabetes. Methods 88 elderly diabetic patients admitted from April 2018 to April 2019 in our hospital were included in this study， and the patients were randomly divided into the control group and the study group， 44 cases each. The control group received routine nursing intervention. The research group emphasized the intervention of medication behavior based on the control group， observed and compared the blood glucose control of the two groups， compared the treatment compliance of the two groups of patients， and compared the changes in the quality of life of the two groups of patients. Results Before treatment， there was no statistically  difference in blood glucose indicators （fasting blood glucose， 2 h postprandial blood glucose， and glycated hemoglobin） between the two groups of patients （P>0.05）. After treatment， blood glucose indicators （fasting blood glucose， 2 h postprandial blood glucose， and glycated hemoglobin） in the study group were not significantly different，  lower than the control group （P<0.05）. The treatment compliance rate of patients in the study group was significantly higher than that in the control group （P<0.05）. Before treatment， there were no statistically significant differences in the quality of life scores （DSQL） between the two groups in social function， psychological and mental status， treatment， and physiological function （P>0.05）. After treatment， the study group of the above scores were lower than those in the control group （P<0.05）. Conclusion In the treatment of elderly diabetic patients， emphasizing the knowledge of medication behavior can significantly improve the patient's treatment compliance， thereby making patients more ideal in blood glucose control and reducing the impact of diabetes on the body.

[Key words] Diabetes; Medication; Elderly patients; Treatment compliance; Blood glucose levels

糖尿病在我国是一种发病率较高的代谢疾病，尤其是老年群体中，发病率极高。相关研究称，糖尿病的发病与发胖、年龄、遗传等因素相关，其中年龄与糖尿病的发病率呈现正相关。由于糖尿病对患者的影响，主要源于机体处于高血糖状态会对脏器、组织、血管造成损伤，在现目前糖尿病无法治愈的情况下，控制血糖上升，是治疗和控制糖尿病的最有效的方法[1]。老年患者由于记忆力减退、缺乏用药知识、性格固执等原因，使其血糖控制不如中青年群体理想。有报道称，在老年糖尿病患者的治疗中，增加用药行为干预，可显著改善老年患者的血糖水平，因而该次研究，选取2018年4月—2019年4月该院收治的88例老年糖尿病患者，采用随机对照研究的方式，验证和讨论用药行为干预对老年糖尿病患者病情的控制和预后的影响，报道如下。